LIFENET BEHAVIORAL HEALTH (NPI# 1881831683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881831683 |
Entity Type | Organization |
Organization Name | LIFENET BEHAVIORAL HEALTH |
Practice Address |
4050 Lonesome Rd Ste A Mandeville LA 70448 |
Mailing Address |
4050 Lonesome Rd Ste A Mandeville LA 70448-7085 |
Practice Telephone | 9852462600 |
Practice Fax Number | 9852462601 |
Mailing Telephone | 9852462600 |
Mailing Fax Number | 9852462601 |
Enumeration Date | 2009-01-15 |
Last Update Date | 2010-07-27 |
Authorized Official Name | SHARI TAYLOR (OWNER) |
Authorized Official Telephone | 9852462600 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
020750 | LA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1793221 | 05 | |
LA | 1966746 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093049280 | Lifenet Behavioral Health | Psychiatry & Neurology | 4070 Lonesome Rd, Suite B, Mandeville, LA 70448-7085 | 2009-09-22 |
Street Address |
4050 LONESOME RD STE A |
City | MANDEVILLE |
State | LA |
Zip Code | 70448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043395148 | Shari Ann Taylor | Nurse Practitioner | 4050 Lonesome Rd Ste A, Mandeville, LA 70448-7085 | 2006-10-26 |
1700276490 | Bianchini-holcomb | Clinical Neuropsychologist | 4050 Lonesome Rd Ste A, Mandeville, LA 70448-7085 | 2015-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
Find all providers in zip 70448 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043692437 | Northlake Medical Psychology and Counseling | Clinic/Center | 215 Saint Ann Dr Ste 2, Mandeville, LA 70471-3394 | 2015-06-23 |
1215080478 | Department of Health and Hospital | Clinic/Center | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2007-01-19 |
1215929211 | Beacon Behavioral Health Northshore Inc | Clinic/Center | 820 Asbury Dr, Mandeville, LA 70471 | 2005-08-17 |
1740539410 | Lifenet | Clinic/Center | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2012-09-10 |
1487774675 | Trinity Behavioral Health, LLC | Clinic/Center | 1350 Park Dr, Mandeville, LA 70471-3205 | 2007-03-30 |
1598883563 | R & J Management, LLC | Clinic/Center | 1350 Park Dr, Mandeville, LA 70471-3205 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162905 | Hope-healing Oneself Through Positive Expectations | Clinic/Center | 3966 Water Oak Dr, Zachary, LA 70791-7347 | 2020-10-16 |
1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
1881201192 | Guiding Light Mental Health Services, LLC | Clinic/Center | 2008 Airline Dr Ste 300-215, Bossier City, LA 71111-2946 | 2020-09-30 |
1619583341 | Resilience Behavioral Healthcare | Clinic/Center | 801 Woodwind Dr, Alexandria, LA 71303-3888 | 2020-09-18 |
1023622032 | Abundance Counseling Service | Clinic/Center | 1500 Lafayette St Ste 150, Gretna, LA 70053-5799 | 2020-09-08 |
1578174314 | Stacy House Counseling | Clinic/Center | 38344 Samuel Tillotson Dr, Prairieville, LA 70769-4816 | 2020-08-14 |
1679182711 | Innerspace Counseling | Clinic/Center | 708 Janice Dr, Sulphur, LA 70663-4210 | 2020-07-24 |
1609492982 | Golden Rule Counseling, LLC | Clinic/Center | 37371 Cornerview Rd, Geismar, LA 70734-3242 | 2020-06-22 |
1639794183 | Harmony Behavioral Services LLC. | Clinic/Center | 630 W Cornerview St Ste B, Gonzales, LA 70737-2742 | 2020-06-10 |
1477177814 | Dr. Phaetra K. Raney Foundation Inc. | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-02 |
Find all providers with the same taxonomy |
City | MANDEVILLE |
Zip Code | 70448 |
Please comment or provide details below to improve the information on LIFENET BEHAVIORAL HEALTH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.